Specialties
Lumbar Transforaminal Epidural Steroid Injection
Our Goal for You:
- Identify the cause of your pain.
- Minimize your down time with non-surgical or minimally invasive procedures if possible.
- Get back to living the life you want.
Overview
This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.
Preparation
In preparation for the procedure, the patient lies face down. A cushion is placed under the abdomen, which causes the spine to bend in a way that opens the spaces on the sides of the spine. These spaces are called the foramina.
Anesthetic Injected
A local anesthetic is administered to numb the skin and the tissue that covers the spine.
Needle Inserted
When the area is numb, the physician carefully guides a needle into the foraminal space that surrounds the irritated nerve root.
Contrast Solution Injected
A contrast solution is injected through the needle. The physician uses a fluoroscope (a type of x-ray device) to confirm that the tip of the needle is positioned correctly.
Medication Injected
After the needle’s position has been confirmed, the physician injects a steroid-anesthetic medication. This medication bathes the irritated nerve roots. It will help alleviate the patient’s pain.
End of Procedure
When the procedure is complete, the physician removes the needle and bandages the insertion site. The patient may feel significant relief after one injection. Some patients may need multiple injections before they feel the full benefit of the medication.
Why Choose Advanced Spine Centers
Board Certified & Fellowship Trained.
Voted 2019’s Best Spine Surgeon.
Internationally Recognized Trainer to Spine Surgeons.
Pioneer in Non-Surgical & Micro-Surgical Procedures.
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Common Patient Questions
ExcellentBased on 147 reviewsRobert AliceaThe doctor and his staff were very welcoming and kind ..explained my issues in detail . Will highly recommendGerman CisnerosEvery visit to Dr. Courtney's office is educational and most beneficial. Dr. Courtney and ALL of his staff are the best!Jamey DerryberryMy wife and I both go to Dr Courtney for back issues. Great care. Great staff. Great surgical facility and smooth process. LOVE THEM!!!Mark CotterDr Courtney and his staff truly care about my well being. They are the only ones I have found that have been able to help me with my workman's comp claimJ “JAFO”Does your back hurt? Has your back been hurting, yet no other surgeon can or won't help you; or worse tells you nothing is wrong? You're in the wrong place! I had 4 back operations with no improvement. I had an additional 6 other consultations with "there's nothing wrong with you". The truth was I was probably 2-3 months away from permanent leg and lower back paralysis. He fixed me. I can stand, I can walk. I threw away my crutches of 13 years. If you need back correction - GO SEE THIS DOCTOR! He will fix you, and fix you correctly, if it is humanly possible. Enough said! Go see him. He tells the truth and tells it like it is. 🙂Terri StewmanDr courtney and his staff are great! Dr courtney always takes his time with you and I feel he truly cares about his patients.Ross WigingtonGreat Dr and helped me multiple times over the years Would recommend to anyone that needs helpBridgette e MentesanaDr. Courtney is knowledgeable and takes the time to really explain what’s going on and explain why you’re in pain and the several options to correct the issue. I never felt rushed and he was on time to our appointment which is such a rare thing. The rest of the office staff was absolutely top notch. They were really down to earth and so nice, you could tell they liked their jobs and were treated well. It was a very welcoming atmosphere. I felt very comfortable and I knew I was in capable hands just by the way he treated his staff and listened to his patients. Highly recommend.Marie BentonDr Courtney did my neck surgery and my 360 back surgery. I would not go to another surgeon, he cares about his patients and it shows! His staff is great as well! I trust his opinion and skills 100%